Individual
DR. LESLIE JEAN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
620 N MORRISON BLVD STE G, HAMMOND, LA 70401-2312
(985) 543-4113
(985) 543-4109
Mailing address
620 N MORRISON BLVD STE G, HAMMOND, LA 70401-2312
(985) 543-4113
(985) 543-4109
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1120
LA
103TB0200X
Cognitive & Behavioral Psychologist
1120
LA
103TC0700X
Clinical Psychologist
1120
LA
103TC1900X
Counseling Psychologist
1120
LA
103TC2200X
Clinical Child & Adolescent Psychologist
1120
LA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1120
LA
Other
Enumeration date
03/30/2010
Last updated
10/24/2011
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